Individual
JOLAYNE RUSH MATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
79 BLAKE ST, SUITE 1, PRESQUE ISLE, ME 04769-2474
(207) 764-3036
(207) 768-3445
Mailing address
79 BLAKE ST, SUITE 1, PRESQUE ISLE, ME 04769-2474
(207) 764-3036
(207) 768-3445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP140
ME
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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